Individual
DR. JAMES R GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1293 E PARKDALE AVE, STE 2300B, MANISTEE, MI 49660-8904
(231) 398-1750
(231) 398-1751
Mailing address
375 RIVER ST, MANISTEE, MI 49660-2729
(231) 398-9266
(231) 398-9268
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301046368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005115171
BCBSM
MI
05
—
4743229
—
MI
Enumeration date
06/21/2005
Last updated
11/10/2016
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